Addison Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ADDISON SURGERY CENTER

Practice address

191 Addison Ave
Ste 1
Twin Falls, ID 83301-5177

Phone

(208) 734-5993

Fax

(208) 736-1968

NPI assigned

Jun 16, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Blackmer, DPMNPI 1396847125

Title

Medical Director

Phone

(208) 734-5993

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David A Blackmer, DPM

  • Podiatrist
  • Twin Falls, ID
  • NPI 1396847125
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811992811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 ADDISON AVE",
            "address_2": "STE 1",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015177",
            "telephone_number": "208-734-5993",
            "fax_number": "208-736-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 ADDISON AVE",
            "address_2": "STE 1",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015177",
            "telephone_number": "208-734-5993",
            "fax_number": "208-736-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDISON SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACKMER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "208-734-5993",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8042431",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elliot McNamara Adams, M.D.
• Matthew Adams
• Robert Allen Adams, DDS
• Jed E. Adamson, N.D.
• Jessica Rose Adamson, MSN, APRN, FNP-C
• Addison Surgery Center Inc
• Addus Healthcare (Idaho), Inc. (Addus HomeCare)
• Lucinda Adjesiwor, PHD, LMSW
• Adult, Child, and Family Associates
• Advanced Dental Care of Twin Falls

• Ambulatory Surgical Clinic/Center in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Ambulatory Surgical Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.